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Failure to address the violations may result in additional enforcement action, such as product seizures or an injunction

Pre-injection preparation techniques include: Cleaning the injection site with an alcohol swab and allowing it to dry completely (wet alcohol can cause stinging and tissue irritation) Refraining from rubbing or massaging the injection site before or immediately after injection Using standard 4-mm, 32G pen needles, which minimize tissue trauma for most patients Applying firm pressure (without rubbing) with a clean gauze pad or cotton ball for at least 2 minutes after needle withdrawal, especially for patients on blood thinners For patients taking anticoagulants or antiplatelet medications, do not change your medication dosing or timing for injections

However, levels decline with age, illness, and environmental exposure

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